VT 101 QUESTIONS WITH CORRECT ANSWERS

VT 101 QUESTIONS WITH CORRECT ANSWERS The medical record is a legal document. (T/F) - CORRECT ANSWER-TRUE Which of the following should a receptionist obtain from the owner of a pet that is to undergo surgery or some other procedure requiring anesthesia? - CORRECT ANSWER-The client's schedule for the day. Which would not be a commonly accepted "Rule of Thumb" regarding medical record keeping? - CORRECT ANSWER-If it is not written in blue ink, it was not documented In general, veterinary medical records are the property of - CORRECT ANSWER-the veterinary practice. Medical records maybe used as legal documents therefore written entries - CORRECT ANSWER-should be signed or initialed by the author, and the author's credentials. Farm animal veterinarians keep _____ immunization records on large numbers of animals. - CORRECT ANSWER-combined herd All of the following are components of a patient's signalment - CORRECT ANSWER-Weight Logs kept throughout the hospital serve to - CORRECT ANSWER-all of the above. The _____________ includes the major medical disorders experienced by a patient during its lifetime. Each problem represents a conclusion or a decision resulting from examination, investigation, and analysis of the database. - CORRECT ANSWER-master problem list Completion of the _______ portion of the SOAP notes requires analysis of all subjective and objective data that have been gathered thus far. - CORRECT ANSWER-assessment Medical records are considered confidential and any information in them is also confidential. Which of the following breaches this confidentiality? - CORRECT ANSWER-All of the above The medical record should document only patient information not communication with the owner. (T/F) - CORRECT ANSWER-FALSE What does the American Animal Hospital Association (AAHA) require in regard to hard copy backups of patient medical records? - CORRECT ANSWER-They should be stored in 8 × 10 inch folders Informed consent means the client or the client's representative has been educated about - CORRECT ANSWER-all of the above. The MAOR, also known as a ward treatment sheet, is used to ensure that hospitalized patients are given treatments, diagnostic tests, and diet as requested by the attending veterinarian. When a medication was inadvertently not given what should be done? - CORRECT ANSWER-Enter the letters "NG" into the box VCPR occurs when all of the following conditions have been met except - CORRECT ANSWER-the veterinarian is travelling but has provided the client with a phone number at which the veterinarian can be reached in the event of an emergency. The acronym VCPR contains all of the following words except - CORRECT ANSWER-pet. Which of the following would be considered a medical record notation? - CORRECT ANSWER-A conversation with a referring veterinarian The SOAP method of medical record keeping stands for all except - CORRECT ANSWER-animal. What is an important advantage of electronic medical records compared to hard copy versions? - CORRECT ANSWER-They allow for multiple viewers simultaneously How should follow-up after a surgery be completed? - CORRECT ANSWER-A technician should give the client a call several days after discharge __________ forms document in writing an understanding between the veterinary practice and the pet owner. They outline specific conditions, risks of procedures, and responsibilities of both parties. - CORRECT ANSWER-Consent All of the following statements about the problem-oriented veterinary medical record (POVMR) are true except - CORRECT ANSWER-The American Animal Hospital Association (AAHA) will not certify a veterinary facility that uses POVMRs.